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This survey is for those that Botox and those that don't. To reward your efforts, each participant will receive $10.00 in Renu Beaut…

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To Botox or Not, that is the Question...
1. Botox and Fillers may be used
2. Do you now or do you plan to experience Botox, Juvederm and/or Fillers?
3. Would you recommend Botox, Juvederm and Fillers?
4. When did you first experience Botox or Fillers?
5. Please check any consideration you may have, or had when choosing Botox, Juvederm or Fillers.
6. Please check any Aesthetic/Health experiences you enjoy.
7. What are the best times and days of the week for you to receive your treatments? (please check all that apply)
8. Would you like Renu to inform you when there are specials and events for Botox, Juvederm, Latisse, Radiesse and other fillers?
9. Are you aware that Renu is launching a Royalty Rewards Programs?
10. Would you like Botox, Juvederm and Fillers to be included in the Rewards?
11. Which party of the United States do you call home?
12. When looking for Professional Skin Care, what is important to you?
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To Botox or Not, that is the Question...

by: beautifulbsns

This survey is for those that Botox and those that don't. To reward your efforts, each participant will receive $10.00 in Renu Beauty Dollars and an entry into the GRAND PRIZE drawing for 10 Units of Botox ($120.00 value). *Your participation will be kept strictly confidential. Simply email your name, phone and fb address to renulsc@live.com after completing the survey.* Must have a fb account and be at least 18 years of age. Renu Laser and Skin Care 303-470-0200
Contest ends 8/31/11

  1. 1

    Botox and Fillers may be used

    Please select all that apply.

  2. 2

    Do you now or do you plan to experience Botox, Juvederm and/or Fillers?

  3. 3

    Would you recommend Botox, Juvederm and Fillers?

  4. 4

    When did you first experience Botox or Fillers?

    Please select all that apply.

  5. 5

    Please check any consideration you may have, or had when choosing Botox, Juvederm or Fillers.

    Please select all that apply.

  6. 6

    Please check any Aesthetic/Health experiences you enjoy.

    Please select all that apply.

  7. 7

    What are the best times and days of the week for you to receive your treatments? (please check all that apply)

    Please select all that apply.

  8. 8

    Would you like Renu to inform you when there are specials and events for Botox, Juvederm, Latisse, Radiesse and other fillers?

  9. 9

    Are you aware that Renu is launching a Royalty Rewards Programs?

  10. 10

    Would you like Botox, Juvederm and Fillers to be included in the Rewards?

  11. 11

    Which party of the United States do you call home?

  12. 12

    When looking for Professional Skin Care, what is important to you?

    Please select all that apply.

© 2013 Miva AK, Inc.
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